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Related Experiment Video

Updated: Jun 27, 2026

The Ladder Rung Walking Task: A Scoring System and its Practical Application.
09:38

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Published on: June 12, 2009

Educational Implications of a Tiered, Competency-Based "Step Ladder System".

Hiroaki Komatsu1, Masaru Ueki2, Nanako Yamada3

  • 1Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Japan.

The Journal of Obstetrics and Gynaecology Research
|June 26, 2026
PubMed
Summary
This summary is machine-generated.

A mobile Step Ladder System improved obstetrics-gynecology (OBGYN) clinical training by tracking competencies. Data identified curriculum gaps and stable skills for medical education enhancement.

Keywords:
competency‐based medical educationmobile learning platformobstetrics and gynecology educationundergraduate and postgraduate medical educationworkplace‐based assessment

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Area of Science:

  • Medical Education
  • Competency-Based Training
  • Digital Health Tools

Background:

  • Aligning undergraduate and postgraduate clinical training in obstetrics-gynecology (OBGYN) presents ongoing challenges.
  • A tiered competency checklist, the

Purpose of the Study:

  • To evaluate the effectiveness of a mobile-based, tiered competency checklist (Step Ladder System) in OBGYN clinical training.
  • To identify areas of stable competency and potential gaps within the curriculum.

Main Methods:

  • Retrospective analysis of 74 learners (medical students and residents) using a mobile assessment platform.
  • The Step Ladder System comprised 93 workplace-based tasks across obstetrics and gynecology, organized into three progressive steps.
  • Outcomes included stepwise completion rates, gender differences, supervisor ratings, and feedback analysis.

Main Results:

  • Students showed higher Step 1 completion than residents; completion was similar in Step 2 and lower in Step 3.
  • Female learners excelled in knowledge-based tasks, while males showed an advantage in some procedural tasks.
  • Supervisor ratings were positive, and analysis identified "seamless" tasks and "low-achievement" tasks, particularly in advanced steps.

Conclusions:

  • A mobile, stepwise competency checklist offers a structured framework for clinical training, facilitating real-time documentation and feedback.
  • Competency completion data can serve as a diagnostic tool for curriculum improvement, highlighting both strengths and weaknesses.